Long-Term Sequelae of Hypogastric Artery Ligation or Embolization in Patients with Morbidly Adherent Placenta Following Cesarean-Hysterectomy

Severe hemorrhage can occur during the delivery of patients with morbidly adherent placenta (MAP), and techniques such as adjuvant intraoperative hypogastric artery ligation at the time of cesarean-hysterectomy (C-hyst) have been implemented with the goal of decreasing intraoperative blood loss. However, little research has been dedicated to long-term post-surgical sequelae as a result of elective hypogastric artery ligation or embolization in the setting of a Chyst. Interruption of the hypogastric artery has classically been performed in trauma cases or as an undesired side effect of vascular operations and although generally considered benign, can cause ischemic complications, including buttock claudication, spinal cord ischemia, and sexual dysfunction. Findings from this retrospective cohort study show no significant long-term sequelae of hypogastric artery ligation or embolization in patients with MAP treated with C-hyst.

Keywords: Invasvie Placenta; Hypogastric artery ligation; Cesarean hysterectomy.